Individual
MS. LISA JO BRUNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARDMS
Contact information
Practice address
2487 N ARTURO CIR W, CAMP VERDE, AZ 86322-7955
(928) 800-1640
Mailing address
2487 N ARTURO CIR W, CAMP VERDE, AZ 86322-7955
(928) 800-1640
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
191137
AZ
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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